How can I minimize the side effects of Celexa?

Stacy Wiegman, PharmD

Pharmacy

To minimize side effects of Celexa (citalopram), a prescription antidepressant medication, do the following:

Take Celexa exactly as directed by your doctor. Do not take more or less, or take it more or less frequently, than your doctor prescribes. Do not stop taking Celexa without talking to your doctor first.
Make a list of all medications (prescription and over-the-counter) and dietary and herbal supplements that you take, and go over the list carefully with your doctor before starting Celexa. Once you begin taking Celexa, do not take any new medication or supplement without checking with your doctor first.
Don't drink alcohol. Alcohol may worsen side effects of Celexa.
Give your doctor a detailed medical history, and be sure your doctor is aware of any medical conditions you're currently experiencing.
Keep all your medical appointments. Your doctor will want to monitor you closely to be sure you are not having any serious side effects and to see how you are responding to Celexa.

Be sure to call your doctor at the first sign of symptoms of potentially serious side effects, including:

changes in mood or behavior, including worsening depression, suicidal thoughts or behaviors, aggressive or violent behavior, extreme worry, irritability, anxiety, panic attacks, agitation, restlessness or trouble falling asleep or staying asleep
symptoms of potential heart problems (chest pain, fast or slow heartbeat, difficulty breathing, dizziness or fainting)
symptoms of allergic reaction (difficulty breathing, rash, hives, blisters on the skin and swelling of the face, tongue, eyes and/or mouth)
fatigue or excessive drowsiness
seizures or convulsions
unusual bleeding or bruising
changes in appetite and/or weight
symptoms of low salt levels in the blood (which may cause headache, weakness, confusion or memory problems and unsteadiness)
hallucinations or other changes in mental status
coordination problems or muscle twitching or stiffness
racing heartbeat
changes in blood pressure
sweating
fever
nausea, vomiting, diarrhea, stomach pain

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.